Tallulah Opco LLC
NPI #1265086979 in Tallulah, Louisiana
Provider Information
- NPI Number
- 1265086979
- Entity Type
- Organization
- Organization Name
- Tallulah Opco LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LEGACY NURSING & REHABILITATION OF TALLULAH
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 31, 2019
- Last Updated
- Jul 31, 2019
Practice Location
Authorized Official
- Name
- DEVIN GUM
- Title
- MANAGING MEMBER
- Phone
- (225) 800-4954
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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